Dyspepsia is a digestive disorder of various origins. There are gastric and intestinal dyspepsia. The term "gastric dyspepsia" combines symptoms such as heartburn , belching, regurgitation , nausea , vomiting , and hiccups . They are observed not only in various diseases of the stomach, but also in diseases of other organs and systems (central nervous system, endocrine system, liver , biliary tract, kidneys , etc.). Intestinal dyspepsia - syndromes occurring in functional and organic lesions of the intestine. There are fermenting and putrid dyspepsia.
Fermentation dyspepsia is caused by the entry of a significant amount of carbohydrates into the large intestine with insufficient digestion and absorption in the small intestine (excessive consumption of carbohydrates, insufficiently fermented beverages - kvass, young beer ). Clinical manifestations: abdominal distension, rumbling, transfusion, colic-like pain, subsiding after the discharge of gases without odor. Stools up to 2–4 times per day; feces abundant, light yellow in color with sour odor and sour reaction, containing gas bubbles. When microscopy - a large number of starch grains.Go
Putrid dyspepsia is caused by hypersecretion of protein-rich intestinal juice, which is a substrate for the processes of decay in the large and partly small intestine. Hypersecretion is caused by the introduction of excessive amounts of animal protein with food, inflammatory processes in the intestines, and allergic reactions. Clinical manifestations: bloating, sometimes persistent diarrhea (stools up to 10-14 times per day). Dark-colored feces with a putrid odor, alkaline reaction. Intoxication may occur: headaches, fever, feeling unwell. A microscopic examination of feces found many undigested muscle fibers. Often there is a combination of both types of dyspepsia. Intestinal dyspepsia can accompany diseases of the stomach, pancreas, liver.
Treatment of gastric dyspepsia should be directed to the underlying disease; with intestinal dyspepsia - mainly dietary (see. Medical nutrition, Food, Diarrhea , Tables of medical nutrition). Of the drugs, adsorbents are successfully used: a mixture of Calcium carbonicum, Calcium phosphoricum, Bolus alba in equal amounts, 0.5–1 teaspoon 2-3 times a day after meals. With a reduced exocrine pancreatic function, long courses (up to 2–3 months) of treating pancreatin 1–2 g after meals 3 times a day are useful, and in case of secretory insufficiency of the stomach, abomin 1 tablet 3 times a day at the beginning of a meal followed by taking 15-20 drops of diluted hydrochloric acid (1/2 cup water). With spastic pains, antispastic agents ( platifillin , atropine, belladonna, papaverine , gastripon) are prescribed in usual doses. The composition of the intestinal flora is normalized by the use of lactic acid products.